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Implant dentistry in general practice part 2: treatment planning

From Volume 43, Issue 6, July 2016 | Pages 522-528

Authors

Ken Nicholson

BDS, MSc(ImpDent)

Faculty of Examiners RCS(Edin), 91 Newforge Road, Magheralin, Craigavon, BT67 0QW, UK (ken.nicholson5@btinternet.com)

Articles by Ken Nicholson

Abstract

This paper, the second of a series of two, provides an introduction to treatment planning in implant dentistry for the general dental practitioner.

CPD/Clinical Relevance: Appropriate training has made implant placement and restoration a routine treatment option in general practice.

Article

Good treatment planning can only occur when based upon a thorough understanding of the principles of implant dentistry in general practice. These include:

The clinician should begin with the end result in view in terms of whole patient care, not limiting the treatment plan to the replacement of missing or failing teeth and their implant-supported restorations.

Patient expectations must be identified early in the consultation process and compared with a detailed case assessment to determine if they can be met. Much implant company marketing literature gives a very positive aesthetic outcome for implant-supported restorations, potentially setting the patients' expectations beyond what may be readily achievable. It is not the implant components that determine the aesthetic outcome but the time spent on case assessment in order to arrive at a correct diagnosis and treatment plan.2 The question ‘What can I do for you?’ should reveal their expectations. Implant restorations must provide both appropriate and achievable form and function. Providing function is a much more straightforward process than providing form.2,3

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